# MARTHA ANN TAYLOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457652992
- **Authorized official:** DR. MARTHA ANN TAYLOR MD (OWNER)
- **Authorized official phone:** (586) 909-1632

## Contact information

- **Practice address:** 105 HENDRON HILLS DR, VINCENNES, IN 47591-3638
- **Practice address phone:** (586) 909-1632
- **Mailing address:** 105 HENDRON HILLS DR, VINCENNES, IN 47591-3638
- **Mailing address phone:** (586) 909-1632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 01066927A | IN | Yes |

## Other

- **Enumeration date:** 11/16/2010
- **Last updated:** 11/29/2010